Provider Demographics
NPI:1962231308
Name:MIKAEL MINAL & SEHAR LLC
Entity type:Organization
Organization Name:MIKAEL MINAL & SEHAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TALHA
Authorized Official - Middle Name:ALTAF-UR
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-640-5666
Mailing Address - Street 1:1548 MINONITE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3802
Mailing Address - Country:US
Mailing Address - Phone:832-640-5666
Mailing Address - Fax:
Practice Address - Street 1:1548 MINONITE RD STE 220
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77469-3802
Practice Address - Country:US
Practice Address - Phone:832-640-5666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty